Testicular torsion repair

Definition

Testicular torsion repair is surgery to untangle a spermatic cord. The spermatic cord is the collection of blood vessels in the scrotum leading to the testicles. If it twists or turns, testicular torsion develops. This torsion (pulling and twisting) blocks blood flow to the testicle.

Description

Most patients receive general anesthesia for testicular torsion repair surgery. This will make you asleep and pain-free.

After you receive anesthesia, the surgeon will make a surgical cut in your scrotum to get to the twisted cord. The surgeon will then untangle the spermatic cord and testicle. The surgeon will use stitches to attach this testicle to the inside of your scrotum. The other testicle will be attached in the same way so that it does not twist in the future.

Why the Procedure Is Performed

Testicular torsion is an emergency. Surgery is usually needed right away to relieve the sudden severe pain and swelling and to prevent the loss of the testicle. For the best results, it should be performed within 6 hours after symptoms begin. By 12 hours, a testicle may become damaged so badly that it has to be removed.

Risks

Before the Procedure

Because this surgery is most often done as an emergency, there is usually not enough time to have medical tests beforehand. You may have an imaging test (usually ultrasound) to check for blood flow and tissue death.

You will probably be given pain medicine and be sent to a urologist for surgery as soon as possible. A urologist is a doctor who specializes in the surgery and treatment of genital and urinary problems and diseases.

After the Procedure

Pain medicine, rest, and ice packs will relieve pain and swelling after surgery. Do not put the ice directly on your skin. Wrap it in a towel or cloth. Rest at home for several days. You may wear a scrotal support for a week after surgery.